Provider Demographics
NPI:1851173637
Name:QUIROZ, ANDREA JO (HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JO
Last Name:QUIROZ
Suffix:
Gender:F
Credentials:HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2149
Mailing Address - Country:US
Mailing Address - Phone:402-390-6464
Mailing Address - Fax:402-390-6454
Practice Address - Street 1:8601 ARBOR ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2149
Practice Address - Country:US
Practice Address - Phone:402-390-6464
Practice Address - Fax:402-390-6454
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide